Displaying 16211-16220 of 1611142 results.
ID:
16211
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2283236
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
16212
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
848333
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
84
ID:
16213
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
848343
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
84
ID:
16214
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665906
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
ID:
16215
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665900
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
ID:
16216
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1801322
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
7
Qty Limit Days:
28
ID:
16217
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2262446
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
16218
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2123034
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
16219
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2274390
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
16220
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2282320
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
16
Qty Limit Days:
30
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